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CARC
CO-49
CARC
CO — Contractual Obligation
Non-Covered
Quick Facts
Code
CO-49
Type
CARC
Category
Non-Covered
Status
Active
Non-covered: routine/preventive exam or screening performed with a routine exam
What Does This Code Mean?
The service is excluded because it’s a routine/preventive exam, or a screening/diagnostic procedure bundled with one.
Common Causes
- Preventive visit billed with a diagnostic-only benefit plan
- Screening service coded as diagnostic when performed as routine
Recommended Next Steps
- Confirm whether the plan covers preventive services separately
- Correct coding if a diagnostic component was mislabeled as routine
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Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.